Provider Demographics
NPI:1093467680
Name:SUMA MEDICAL SERVICES, PC
Entity Type:Organization
Organization Name:SUMA MEDICAL SERVICES, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:ELLA
Authorized Official - Middle Name:
Authorized Official - Last Name:LAGER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:718-332-7878
Mailing Address - Street 1:1513 VOORHIES AVE
Mailing Address - Street 2:SUITE LL2
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11235-3994
Mailing Address - Country:US
Mailing Address - Phone:718-332-7878
Mailing Address - Fax:718-332-8051
Practice Address - Street 1:1513 VOORHIES AVENUE
Practice Address - Street 2:SUITE LL2
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11235-3994
Practice Address - Country:US
Practice Address - Phone:718-332-3527
Practice Address - Fax:718-332-8051
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-01-25
Last Update Date:2022-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurologyGroup - Single Specialty